Transtorno afetivo bipolar: carga da doença e custos relacionados

Show simple item record Niccolai Costa, Anna Maria 2018-06-18T11:54:27Z 2018-06-18T11:54:27Z 2008-01-01
dc.identifier.citation Revista De Psiquiatria Clinica. Sao Paulo: Univ Sao Paulo, Inst Psiquiatria, v. 35, n. 3, p. 104-110, 2008.
dc.identifier.issn 0101-6083
dc.description.abstract Background: Bipolar disorder (BD) is a recurrent, chronic and severe disease. Mental and physical comorbidities, risk of suicide, health services use and impairment of social and professional domains significantly worsen the burden and increase the costs of illness. Objectives: Review clinical aspects, burden of disease, and consequent financial outcomes of BD. Methods: MEDLINE/PubMed database search using the terms bipolar disorder, epidemiology, burden of disease, comorbidity, cost of illness, outcomes e financial consequences, published in MEDLINE from 1980 to 2006. Results: BD has a high rate of comorbidities, which worsen the prognosis and increase costs with health services. Subjects with BD have more cardiovascular risk factors than the general population, and therefore a higher risk of death by cardiovascular event. Delay of diagnosis and misdiagnosis increase the costs of illness. Discussion: Comorbidities, risk of suicide, social and professional impairment and low adherence to treatment increase the cost of illness. The search of comorbidities may help clinicians to adjust treatment strategies, taking into account all associated risk factors and costs, which may be considered also by professionals involved in health care management, either private or public. en
dc.format.extent 104-110
dc.language.iso por
dc.publisher Univ Sao Paulo, Inst Psiquiatria
dc.relation.ispartof Revista De Psiquiatria Clinica
dc.rights Acesso aberto
dc.subject psychiatry en
dc.subject bipolar disorder en
dc.subject comorbidity en
dc.subject cost of illness en
dc.subject mental health en
dc.title Transtorno afetivo bipolar: carga da doença e custos relacionados pt
dc.title.alternative Bipolar disorder: burden of disease and related costs en
dc.type Resenha
dc.contributor.institution Bristol Myers Squibb Co
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Bristol Myers Squibb Co, New York, NY 10154 USA
dc.description.affiliation Univ Fed Sao Paulo, Dept Psiquiatria, Curso Posgrad, Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Dept Psiquiatria, Curso Posgrad, Sao Paulo, Brazil
dc.identifier.file S0101-60832008000300003.pdf
dc.identifier.scielo S0101-60832008000300003
dc.identifier.doi 10.1590/S0101-60832008000300003
dc.description.source Web of Science
dc.identifier.wos WOS:000257955200003


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